Req ID: RQ170252Type of Requisition: RegularClearance Level Must Be Able to Obtain: NoneJob Family: Data AnalysisSkills:Data Analysis,Data Compilation,Data ReportingExperience:2 + years of related experienceJob Description:Data Analyst IIThe Affordable Care Act (ACA) requires every state to establish a health insurance exchange (also called Health Insurance Marketplace) to facilitate the purchase of health insurance for individuals and small businesses. Through the Center of Program Integrity (CPI), Centers for Medicare & Medicaid Services (CMS) has strong oversight and internal controls to protect consumers enrolled in the Marketplaces and safeguard taxpayer dollars. CMS develops and enforces rules for insurance agents, and brokers, and others who assist with Federally Facilitated Marketplace (FFM) enrollments. The Marketplace Program Integrity Contractor (MPIC) is designed to support this oversight. Through research, investigation and data analysis, the desired outcomes of the MPIC efforts are to prevent, detect, and resolve noncompliance with Marketplace rules, requirements, and laws; recommend administrative actions to CMS; and recommend referrals to law enforcement if potential fraud and abuse is identified.SummaryDevelops, analyzes and models operational, economic, Marketplace, MPIC, and other organizational data to support customer needs, quantify the performance of business segments, evaluate potential operational changes, and design new approaches and methodologies. Applies and integrates statistical, mathematical, predictive modeling and business analysis skills to manage and manipulate complex, high-volume data from a variety of sources. Reviews and conducts necessary data analysis to respond to requests from other business area, customer, and other agencies’ data requests.HOW YOU WILL MAKE AN IMPACT:Performs data analysis, and interpretation.Develops rules and methodologies for data collection and analysis.Work collaboratively within a team of data analysts and other MPIC staff to obtain data and analysis to support program work.Strictly follow approved Standard Operating Procedures (SOPs) for conducting work and provide input into recommendations for SOP updates as needed.Analyze and evaluate enrollment data related to consumer and Agent/Broker activity within the Marketplace.Assist in the process to prioritize, evaluate, and analyze information to identify abnormal behavior using data related to consumer enrollments into qualified health plans and/or data associated agents/brokers’ activities.Within MPIC management and tracking systems, comprehensively document in detail work associated with data collection, analysis, interpretation.As needed, assist in ad-hoc educational and outreach sessions with partners, e.g., CMS, law enforcement, Agent/Brokers, Navigators, etc.Safeguard PII and PHIInfrequent travel may be requiredWHAT YOU’LL NEED TO SUCCEED:Education : Bachelor’s degree or equivalency in healthcare field that includes 2-4 years’ ACA and/or Medicaid-Medicare experience.Required Experience : 2+ years’ experience in data analytics, modeling, and/or risk analysis.Experience with and/or understanding of ACA policies and regulations related to consumer enrollments requirements and Agent/Broker and Navigator responsibilities.Required Technical Skills : Proficient in computer skills, for example SAS, modeling, Microsoft Office-Word, Excel.Frequent work with workgroups to successful completion of goals and milestones.Experience developing, reviewing, and quality assurance of complex data reports/sets.Highly organized, ability to multi-task, and meet deadlines.Requires only limited oversight to conduct work.Strong inter-personal and communications skills, both written and oral.Ability to conceptualize, solve problems, and draw conclusions.Preferred Skills : Experience with FWA claims and related data collection, analysis, interpretation responsibilities.Experience with case tracking system data entry, resolution of data issues, and other related troubleshooting.Location: RemoteResidency requirements: Candidate must have been in the US for 3 of the past 5 yearsSecurity Clearance Level : Must be able to pass a CMS background check.GDIT IS YOUR PLACE:401K with company matchComprehensive health and wellness packagesInternal mobility team dedicated to helping you own your careerProfessional growth opportunities including paid education and certificationsCutting-edge technology you can learn fromRest and recharge with paid vacation and holiday#GDITHealthWe are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 30 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.We connect people with the most impactful client missions, creating an unparalleled work experience that allows them to see their impact every day. We create opportunities for our people to lead and learn simultaneously. From securing our nation’s most sensitive systems, to enabling digital transformation and cloud adoption, our people are the ones who make change real.GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.
